Organization
LESTAT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZAR BURAK (OWNER)
(201) 747-0141
Entity
Organization
Contact information
Practice address
651 RIVERSIDE AVE APT C47, LYNDHURST, NJ 07071-3069
(201) 335-0134
Mailing address
PO BOX 825406, PHILADELPHIA, PA 19182-5406
(201) 335-0134
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
02/14/2020
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